MaxicarePLUS

• Consultation
• Treatment of minor injuries such as lacerations, mild burns, sprains and the likes
• Minor surgery not requiring confinement
• Eyes, ears, nose, throat (EENT) treatment
• Eye laser therapy for retinal tear, retinal hole, retinal detachment and glaucoma
• X-ray, laboratory exams, routine and diagnostic procedures as prescribed by an accredited Physician
• Cauterization of warts
• Sclerotherapy for varicose veins
• Allergy-testing, allergy screening and other related examinations
• Speech Therapy (For Stroke patients only)
• Tuberculin Test

• Room and board accommodation
• Use of Operating Room, Intensive Care Unit (ICU), Isolation Room and Recovery Room
• Professional Fee/s of the attending Physician/s
• Prescribed drugs and medicines for use in the hospital
• Whole blood / human blood products and IV fluids transfusion
• X-ray, laboratory tests, diagnostic tests and therapeutic procedures incidental to confinement
• X-ray, laboratory examinations, diagnostic tests and therapeutic procedures incidental to confinement
• Dressings, conventional casts and sutures
• Anesthesia, Oxygen and its administration
• Standard nursing services and admission kit

Affiliated Hospital

• Doctor’s services
• Emergency room fees
• Medicines used for immediate relief and during treatment
• Oxygen, IV fluids, whole blood and human blood products
• Dressings, casts and suture
• X-ray, laboratory and diagnostic exams, and other medical services related to the emergency treatment of the patient
  
• Room upgrade in case of room unavailability
• Initial treatment of animal bites – covered for the first 24 hours from the time of bite
• Ambulatory Service from affiliated hospital or clinic to another affiliated one covered up to benefit limit

Non-Affiliated Hospital

Within the Philippines

• Reimbursable up to 80% of total hospital bills and Professional fees, up to ₱30,000.00 per case during the first 24 hours

Areas without accredited hospitals within the Philippines

• Reimbursable up to 100% of total hospital bills and Professional fees

Outside the Philippines

• Reimbursable up to 100% of the total hospital bills and Professional fees

Ambulatory service

• From non-affiliated hospital or clinic to an affiliated one covered up to ₱2,500 per conduction

• Passive and active vaccines for treatment of tetanus and animal bites
• Periodic monitoring of health problems
• Health education and counseling on diet or exercise
• Health habits and family planning counseling

• Preexisting dreaded and/or non-dreaded conditions
• Emergency room fees
• Medicines used for immediate relief and during treatment
• Oxygen, IV fluids, whole blood and human blood products
• Dressings, casts and suture
• X-ray, laboratory and diagnostic exams, and other medical services related to the emergency treatment of the patient
• Room upgrade in case of room unavailability
• Initial treatment of animal bites – covered for the first 24 hours from the time of bite
• Ambulatory Service from affiliated hospital or clinic to another affiliated one covered up to benefit limit

Optional Benefits

• Benefits for Cancer cases
• Dental coverage
• Life with accidental death and dismemberment
• Wellness programs
• Annual Check-up
• Executive Check-up

• Account size – Minimum of 10 and maximum of 99 principal members only
• Age Eligibility
  – Principals: 18 to 65 years old
  – Adult Independents: 18 to 65 years old
  – Minor Dependents: 15 days to 23 years old
• Submission of Application Form is not required
• Membership fees can be paid on an annual, semi-annual and quaterly basis
• All benefits are subject to Maxicare’s General Exclusions and Conditions for eligible accounts